Individual provider Active NPI

Adrianne Denise Westmoreland, DO

  • Family Medicine Physician
  • Apple Valley, MN
National Provider Identifier
1518254366
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
63662 Issued in MN
Practice address
7631 145TH St W Ste 110
Apple Valley, MN 55124-5530
Phone
(612) 455-0817
Fax
(833) 450-5972
NPI assigned
Jun 30, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5932 TN
Family Medicine Physician 207Q00000X 11239 AZ
Family Medicine Physician 207Q00000X CDR.0004245 CO
Family Medicine Physician 207Q00000X 3035-321 WI
Family Medicine Physician 207Q00000X 1490 SC
Family Medicine Physician 207Q00000X DO-04903 IA
Family Medicine Physician 207Q00000X 63662 MN Primary

Addresses

Primary practice location

7631 145TH St W Ste 110
Apple Valley, MN 55124-5530

Mailing address

7631 145TH St W Ste 110
Apple Valley, MN 55124-5530
Phone (612) 455-0817

Other practice location 1

315 Deaderick St Ste 1550
Nashville, TN 37238-3003
Phone (888) 803-3370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Nov 6, 2024 through Nov 6, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
CDR.0004245COMDFamily Medicine Physician
63662MNMDFamily Medicine Physician
5932TNMDFamily Medicine Physician
3035-321WIMDFamily Medicine Physician
11239AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northfield Hospital Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: adrianne.westmoreland@avera.sdhealthlink.net
  • Direct secure messaging: adrianne.westmoreland.1@30789.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1518254366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7631 145TH ST W STE 110",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551245530",
            "telephone_number": "612-455-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7631 145TH ST W STE 110",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551245530",
            "telephone_number": "612-455-0817",
            "fax_number": "833-450-5972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 Deaderick St Ste 1550",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372383003",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESTMORELAND",
        "first_name": "ADRIANNE",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "5932",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "11239",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "CDR.0004245",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "3035-321",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "1490",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "DO-04903",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "63662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, MN

Sources for this page

Verify at the official NPI Registry.